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MODULE ONE

studying for mod 1 quiz

QuestionAnswer
A medical assistant is preparing a referral slip for a patient with symptoms of vertigo. Which specialist should the MA refer the pt to? Otolaryngologist.
What is an Otolaryngologist? Someone who specializes in diseases of the ear, nose, and throat.
The MA is reviewing charges for an in-office procedure. Which term describes the maximum reimbursement a third-party payer will provide? Allowable amount
What is Allowable amount? The maximum reimbursement a third-party payer will provide for a particular procedure or service.
A pt experiencing a subluxation should be treated by which alternative medicine practices? Chiropractic care.
What is chiropractic care? A form of alternative medicine that diagnoses and treats disorders of the musculoskeletal system.
What do Chiropractors do? Chiropractors treat subluxations, or misalignments, of the spine.
What is subluxation? An incomplete or partial dislocation of a joint or organ.
Which provider specializes in the management and treatment of interstitial cystitis? Urologist
What is a Urologist? Specializes in the treatment of diseases and disorders of the urinary tract, including interstitial cystitis.
A provider requests that a patient see a specialist for hyperthyroidism. The assistant should expect to contact which specialty clinic for this consultation? A endocrinology clinic.
What is an Endocrinologist? Specializes in treating patients who have a hormonal disorder, such as diabetes mellitus or hyperthyroidism.
Which insurance plan model requires a referral from a primary care provider to schedule an appointment with a dermatologist? Health maintenance organization (HMO)
What is an HMO? HMOs require referrals for specialists, outpatient procedures, treatments, precertification and preauthorization, and hospital admissions.
Which duty is the medical assistant allowed to perform independently? Record vital signs
A patient had a cerebrovascular accident (CVA). Which type of therapy will assist him with regaining motor functions and independence? Physical therapy
What does Physical therapy do? Assists patients who need therapeutic intervention to regain motor functions and independence.
Which health care delivery model emphasizes patients' involvement in organizing their own health care? Patient-centered medical home (PCMH)
What is PCMH? PCMHs are health care delivery models coordinated through a patient's primary care provider.
What are the five core attributes but PCMH? Comprehensive care, patient-centered care, coordinated care, accessible services, and quality and safety.
Which health care professional is legally responsible for the outcomes of a medical assistant's duties and performance? Family practitioner
Which type of provider is qualified to access patients of all ages with a wide variety of acute to severe medical conditions? Family practitioner
Which role provides an opportunity to obtain certification or registration based on state regulations but does not require a license to secure employment with the health care industry? Medical assistant
Why is an MA's registration or certification optional? The health care facility makes the decision if the assistant needs to be certified for the position.
Which professional assists patients with improving mobility, strength, and range of motion? Physical therapist
Which insurance provider is the oldest and largest system of independent health insurers in the U.S.? Blue Cross/ Blue Shield
When was Blue Cross/ Blue Shield founded? 1929
Which professional specializes in evaluating mental illness, physical illness, and disability through analyzing patient health needs and providing health education to patients of all ages? Preventive medicine specialist
What is a Preventive medicine specialist? Evaluates mental illness, physical illness, and disability through analyzing patient health needs.
What is the HMO model? The HMO model contracts with a medical center or group of providers to provide both preventive and acute care for insured patients.
Created by: ESMECASTROD
 

 



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